HomeMy WebLinkAbout21-1549 e�s
City CI Of Ze h rhills PERMIT NUMBER
a �_ p Y
~ - 5335 Eighth Street
Zephyrhills, FL 33542 FIRE-001549-2021
' Phone: (813)780-0020
F � Issue Date: 02/18/2021
r Fax: (813)780-0021
Permit Type: Fire
Property Number Street Address
1126 210010 13500 0150 5340 8Th Street
Owner Information Permit Information Contractor Information
Name: AMERICAN LEGION HOLDING COF Permit Type:Fire Contractor: OWNER-
Class of Work:Places of Assembly
Address: 5340 8Th St Building Valuation:$1.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation:Total Valuation:$1.00 2 v
Total Fees:$50.00
Amount Paid:$50.00
Date Paid:2/18/2021 10:30:03AM
Project Description
PLACES OF ASSEMBLY AMERICAN LEGION/EXP 2/18/2022
Application Fees
Places of Assembly Permit Fee $50.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Fire Fax-813-7e0.002.1
Permit Application
Date Received Phone Contact for Permit
Owner's Name L:G. � LD IVC-60' Owner's Phone Number
Owner's Address
Fee Simple Titleholder Name Titleholder.phone Number
Fee Simple Titleholder Address
Jab Address Z L+'r� �CTt l Ls c �J J`-L Lot#
Sub Division Part el.#
Blo•Flazard Waste StOraos-ANNUAL Fumigation Tent.
Comm Exhaust Kitcheh Hood/Duct .Hazardous Material(Tier II or RO Facility)ANNUAL
ri Controlled Bum Hood installation
Ergergency Generator<30 kw LAINatu si Gas-Iristallatior
Eniergehcy Generator>30 kw LP/Natural Gas-ANNUAL Sate
Fire Protection Maintenance-ANNUAL Pieces of Assembly-ANNUAL
W em ®Mar
Sprinkler ❑ ❑ ❑ � Recreational Sum
Fire Alarm ❑ ❑. ❑ Sparklers Vl\
Hood Cleaning � ❑ ❑ ❑ El Sprinkler System Installations
I
Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) (�/U
Fire Alann Installation Torch Roofing/re,Kettle (U_
Fire Pumps a 1Naste Tire 8 Storage.ANNUAL Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
Other:
Contracto Company
Signature Registered Y'/N Fee Current IN
Address License#
ELECTRICIAN Company
Signature Registered I Y/N :_ Fee Current Y/,:N
Address License#
PLUMBER Company
Signature Registered Y/N I Fee Current
Address License#
MECHANICAL Company
Signature Registered Y/N' Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address License#
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
URUCENSED CONTRACTOR$ AND CONTRACTOR(RESPONSIBILITIES:. If the owner has hired a contractor or
contractors to undertake work, they nay be required to be licensed in accordance with state and local regulations. if the
corlti"actor is not licensed as required-by law, both the owner and contractor may be cited for misdemeanor violation
under state law: if the owner or intended contractor are uncertain as to:what licensing requirements may apply for.the
intended work,they are advised to contact the Pasco CoUnty Building Inspection Division—Licensing Section at-727-847-
8p09. F601iirmore, if the owner has hired a contractor or contractors, he is advised to have the eontractor(s) sign
portions of the "contractor Block" of this.application for which they will be responsible. If you, as th owner sign as the
contractor, that may be indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Got�nty..
1660TRUCTION LIEN LAW.(Chapter 7l3,Fiorfda,$tatutes,as amended): If valuation of work is$2,500 00 or more, I
certify that I., the applica it; have been provided wfthl.a copy of the °Florida Constriction Lien kaw-Ho neowrier's
Protection Guide" preparod by thie l=lorida Department of Agriculture and Consumdr Affairs. if the applicant is soi'neone
other than the'owner", I certify that.1 Have obtained a copy of the above described document and promise in good faith to
deliver it to the°owner°priot to oommen"ri'le-6t,
CONTRACTOR'SIOW.NER'§'AOOIQAVIT: I certify that all the information,in this application is accurate and
that all work will be'4 6 in-.compliance with all applicable laws regulating constriction, zoning and land
development.'Application is hereby made to obtain a permit to do work and installation a' I certify
that no work or installation hascbmmenced'prior.to issuance Of a pefinit and that ail work'will be performed to
meet standards of all laws regulating construction, County and City.codes, zoning regulations, and land
development regulations in the jwrisdic#ion. I also certify that I understand that the regulations of other
government agencies may apply to the intended Work,and that it is my responsibility to iderit'ify what actions I
must take.to be in compliance.
If I am the AGENT FOR THE OVIINER, 1 promise in good faith to inform the owner of the permitting conditions set forth in
' this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be A license to proceed with the work and not as authority to violate, cancel, alter,or
set aside any,provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work a0thorized'by
the permit is suspended or abandoned for a,period of six(6)months after.the time,the work is.commenced. An extension
may lie requestetl� in writing, from the Building Official for a period not to exceed ninety(90) days and Will demonstrate
justifiable cause for the extension. if work ceases for ninety(90)consecutive days,the job is considered abandoned.
WA. ING TO XAUR FAILURE TO RECORD,A NOTICE.OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TINIC.E FOR IMPROVEMENT$TO YOUR PROPERTY, 1F YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR"LENDER OR AN•:ATtORNEY BEFORE-RECORDING YOUR NOTICE OF'COl111lVIENI EMEW.
FL'.RIDA JURAT(F.S.1'I7.03)
OWNER OR AGENT. CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or of red)before me this
Who is/are personally known to me or has/have produced Who is/are personally known to me or hasthave produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamPed Name of Notary typed,printed or stamped